Tyler Terry, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHR.0008046 Issued in CO

Practice address

2839 35TH Ave Unit C
Greeley, CO 80634-9440

Phone

(970) 616-8111

Fax

(970) 616-8222

NPI assigned

Mar 27, 2020

Last updated

Mar 27, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rev Chiropractic LLC

  • Chiropractor
  • Greeley, CO
  • NPI 1437786449
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585267200000",
    "number": "1083241095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2839 35TH AVE UNIT C",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806349440",
            "telephone_number": "970-616-8111",
            "fax_number": "970-616-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2839 35TH AVE UNIT C",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806349440",
            "telephone_number": "970-616-8111",
            "fax_number": "970-616-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRY",
        "first_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-27",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR.0008046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jacqueline Terrazas Hernandez
• Lauren Tesar
• Aakash Thakral, M.D.
• The Doorway LLC
• The Evangelical Lutheran Good Samaritan (The Manor at Bonell Good Samaritan Center)
• The Evangelical Lutheran Good Samaritan Society (Good Samaritan Society - Bonell)

• Chiropractor in Greeley, CO
• Providers in Greeley, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.